Davis, Mark
Davis, Mark is an sole proprietor health care provider with primary practice located at 1 Innovation Dr Ste 3 , Worcester MA 01605-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Davis, Mark can be contacted via phone (508) 793-6290.Contact Information
Primary practice address
1 Innovation Dr Ste 3
Worcester MA 01605-4306
Phone: (508) 793-6290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 9406852 | Kansas |
Profile Details
| NPI number | 1720286370 |
|---|---|
| LBN Legal business name | Davis, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Feb 24th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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